Erectile dysfunction (impotence) is the inability to get and keep an erection firm enough for sex.
Having erection trouble from time to time isn't necessarily a cause for concern. If erectile dysfunction is an ongoing issue, however, it can cause stress, affect your self-confidence and contribute to relationship problems. Problems getting or keeping an erection can also be a sign of an underlying health condition that needs treatment and a risk factor for heart disease.
If you're concerned about erectile dysfunction, talk to your doctor — even if you're embarrassed. Sometimes, treating an underlying condition is enough to reverse erectile dysfunction. In other cases, medications or other direct treatments might be needed.
Erectile dysfunction care at Mayo Clinic
April 21, 2017
- Montague DK, et al. The management of erectile dysfunction: An AUA update. The Journal of Urology. 2005;174:230.
- Erectile dysfunction. Urology Care Foundation. http://www.urologyhealth.org/urologic-conditions/erectile-dysfunction. Accessed Nov. 26, 2016.
- Cunningham GR, et al. Overview of male sexual dysfunction. http://www.uptodate.com/home. Accessed Nov. 26, 2016.
- Erectile dysfunction. National Kidney and Urologic Diseases Information Clearinghouse. https://www.niddk.nih.gov/health-information/health-topics/urologic-disease/erectile-dysfunction/Pages/facts.aspx. Accessed Nov. 26, 2016.
- Cohen SD. The challenge of erectile dysfunction management in the young man. Current Urology Reports. 2015;16:84.
- Sexual function in Parkinson's disease. American Parkinson Disease Association. http://www.apdaparkinson.org/sexual-function-in-parkinsons-disease/. Accessed Nov. 29, 2016.
- Besiroglu H, et al. The relationship between metabolic syndrome, its components, and erectile dysfunction: A systematic review and a meta-analysis of observational studies. Journal of Sexual Medicine. 2015;12:1309.
- Hidden risks of erectile dysfunction "treatments" sold online. U.S. Food and Drug Administration. http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm048386.htm. Accessed Nov. 26, 2016.
- Guay AT, et al. American Association of Clinical Endocrinologists medical guidelines for clinical practice for the evaluation and treatment of male sexual dysfunction: A couple's problem – 2003 update. Endocrine Practice. 2003;9:77.
- Berookhim BM, et al. Rutherford's Vascular Surgery. 8th ed. Philadelphia, Pa.: Saunders Elsevier. 2014. http://www.clinicalkey.com. Accessed Nov. 30, 2016.
- Nehra A, et al. The Princeton III consensus recommendations for the management of erectile dysfunction and cardiovascular disease. Mayo Clinic Proceedings. 2012;87:766.
- Ferri FF. Erectile dysfunction. In: Ferri's Clinical Advisor 2017. Philadelphia, Pa.: Mosby Elsevier; 2016. https://www.clinicalkey.com. Accessed Nov. 30, 2016.
- Brown A. Allscripts EPSi. Mayo Clinic, Rochester, Minn. Dec. 6, 2016.
- Trost LW (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 7, 2016.
- Silva AB, et al. Physical activity and exercise for erectile dysfunction: Systematic review and meta-analysis. British Journal of Sports Medicine. 2016;0:1.
- Kratzik CW, et al. How much physical activity is needed to maintain erectile function? Results of the Androx Vienna Municipality study. European Urology. 2009;55:509.